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I don’t work for big oharma which is the go to attack when the data used to support weak treatment choices is presented. As rush used to say — comm sense guided by experience. Have you ever used ivermectin to test this disease? I have. Several times. And seen despite everything I threw at it the disease progressed.

Have you ever ordered monoxlonals? I have. Seen those teetering on the brink turn around in 12 hours

Have you ever used medications off label? I have. Tocilizumab. Seen it work much better in critical illness. Probable has saved a few lives

Do you currently attend an ICU full of Covid patients? I do. All of them are unvaccinated?

Do you network with tones of physicians in the doctors dining room where you find out what’s going on in your city? I do. This thing has been exploding for a week now. It’s real. It exists?

Have you stood at bedside with people dying because they thought this whole thing was fake? I have. Taken care of families stunned that Covid is real and it is deadly

This article simply confirms what I see in observation everyday. I have always been an early adapter to whatever might work. Many things have come and gone into the failure bin. Adapting is the key to practicing medicine in the face of the unknown.

So here is what I can tell you and in my medical judgment is the best way to deal with this disease

1. Get vaccinated. Of course it should be voluntary
2. If for some reason you choose not to get vaccinated and if you get sick …. Without delay start decadron 6 mg a day for five days. If you have any risk factors without delay week Regeneron infusion. You have about 10’days from symptom onset
3. If you don’t get regenerron and end up in the hospital make sure that your family advocates for a single dose of tocilizumab. Get this is your oxygen demand starts to increase and your markers of inflammation start to go off the rails (LDH, ferritin, d-dimer, CRP, lymphopenia)

This is a detailed stepwise approach to survive a disease that can be very deadly that is actually based on good data verified by studies

I wish you good health and the best of luck as this last wave gets us to herd immunity.

Had a moderately severe case covid that ran it's course untreated by any drug intervention.

Had a bad case of covid hangover for several months.

Took ivermectin and symptoms disappeared and rapidly got back to normal.

You have not had good luck with ivermectin but others have. You are also fortunate to have access to best in class treatment options such as Regeneron.

At this point, ivermectin has been shown to be effective in the prevention and treatment of early stage covid -19 infections. More importantly, how and why it works to prevent or slow the replication of the virus has been determined so the science behind it is validated.

As far as vaccines go, almost every person I know that got the vaccines had serious negative reactions to the second shot of the series that were comparable(sometimes worse) in severity to the symptoms I had with covid itself although they were shorter in duration by several days . Some had a lingering hangover from the vaccines.

The vaccines are proving to be narrow spectrum and only effective against a limited number of strains of the virus.

Thanks for the info. Will keep it recorded in case it's needed.

This is a detailed stepwise approach to survive a disease that can be very deadly that is actually based on good data verified by studies

Thanks, Doc. I understand where you are coming from and appreciate your advice. We have a problem in our state. The Governor is our roadblock in receiving the "MABs" or Regeneron. Use off-label in this state and your license is revoked. You see advertisements for Regeneron at our local infusion center, but the Primary Care Physician is locked out - you have to go to the so called Covid ICU doctor. How many ICU docs do you know who are PCPs?

The problem you are missing is, "How many want to be hospitalized before treatment?" This is the major ethical problem I see within current medical practice. Can you see how far the medical profession has fallen? I don't mean what I say, or am asking, in any personal way - I simply do not like what I see happening. We can all go into the minutia of all the medical trials and papers, but that is truly irrelevant, at least until doctors can again become doctors (PCPs) as those who were in private practice, not an extension of government controlled institutions as large hospitals or academic propaganda machines. Possible you can give advice on how to get monoclonals (monoxlonals?) in a rigged system?